| Centerstone Health Services, Inc. | |
|
645 S Rogers St Ste A Bloomington IN 47403-2353 | |
| (812) 269-5092 | |
| Not Available |
| Full Name | Centerstone Health Services, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 645 S Rogers St Ste A, Bloomington, Indiana |
| Authorized Official Name and Position | Jenny Harrison (CEO) |
| Authorized Official Contact | 8123508249 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Centerstone Health Services, Inc. Po Box 623 Indianapolis IN 46206-0623 Ph: () - | Centerstone Health Services, Inc. 645 S Rogers St Ste A Bloomington IN 47403-2353 Ph: (812) 269-5092 |
| NPI Number | 1497305791 |
|---|---|
| Provider Enumeration Date | 09/18/2019 |
| Last Update Date | 03/11/2024 |
| Certification Date | 08/02/2023 |
| Medicare PECOS PAC ID | 1850497173 |
|---|---|
| Medicare Enrollment ID | O20201230002268 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497305791 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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